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�he EverAreen ,.r... �O N ST R U CTI01�'� � <br />CiTV OF <br />everett PERMIT PERMIT N0. 16339 <br />CITY HALL 25&8745 <br />EVEREIT. WA 98201 � COMBINATION ❑ BU�'LDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILACORESS CITY ZIP PMONE <br />��-����v �nucTonrrrnu �u9nG _ Rnthell Everett HWV #2 Bothell WA 98012 481-8866 <br />OENERAL CONTR�CTOR MAIL ADOFE55 CITY ZIP PHONE LICENSE I <br />Same C�7y IIP PHONE LICENSE N <br />MECHFNICAL CONTRFCTOR MAIL ADDFESS <br />PLUMBING GONTRACTOR MAIL �ODRESS CITY ZIP PNONE LICENSE / <br />NEW ❑ ADDITION � ALTERATION ❑ REPAIR O DEMOLITION O FENCE ❑ SIGN ❑ WOOD STJVEIFIREPLA:'E INSERT <br />f 62,���.0� <br />New sinule family residence <br />S FR <br />LEGAL DESGflIPTION OP PfiOPERTY (SHOW BEIOW OR <br />LOT�BLOCK__OF Wi71nW fn <br />iess <br />1409 - 51st PL SW <br />PLUMBINO <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILETI <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />6' <br />iE ZONE <br />R-1 <br />VPE OF CONST. <br />V-N <br />IZE OF BLDG. <br />R=1560M=528 <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />ITREET SETBA� <br />OT AREA <br />7003 sf <br />)CCUPANCY G <br />R-3 <br />1. ENVIPONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTn1 <br />8. MEALTH DISTRICT <br />APPLICATION ACC. BY PLA <br />mm <br />sg <br />FEE <br />f LU <br />S <br />S 2O <br />REAR YA�iD SE7B <br />VACANT SITE <br />�.XVES C;NO <br />NO.OF DWELLIN <br />� <br />MAX.00C.LOAD <br />fY�li] <br />�C <br />I HEREBY CERTIFY THAT I HAVt READ AND EXAMINED THIS <br />APPLICATION AND KNOW 1'�1E SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS GF LAWS AND ORDINANCES <br />GC"ERPIING THIS TYPE OF Niv9K WILL BE COMPLIED WITH <br />W�;ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUM E TO GIVE AUTHORIN TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM�4NCE OF CONSTRUCTION. <br />.. .�mc eRTcaacrnanaauTHORREDAGENT DATE <br />X � //����'`r'v <br />MECHANICAL <br />Np,T TYPE OF EOUIPMENT <br />AIR:. �`:D. UNITS — H.P. EA. <br />REFRIUERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />j CLOThES ORYERS <br />2 VENTILATION FAN <br />j RANGE HO00 <br />A�R HANDLING UNIT — C.F.M. <br />j STOVE — WOOD <br />METAL :=1REPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />16339 l FEE <br />S <br />S <br />S <br />FEE <br />RECEIPT N0. <br />FEE <br />BUILDING $C2 000. 3�1}9� <br />PLUMBING �� 1 � —����—ZO <br />MECHANICAL �l�jj�j ZZ <br />O7HER Driveway B �{ �� 2� <br />PENALTY 03 (a) �1 .� 398 <br />TOTAL � <br />PEflM1T VALIDATION �p� <br />WHEN PROPERLY VALIDATED (IN �SPACE) �� UR PERMIT <br />s�� i�o•oo <br />BIDIII t330.00 <br />11T1-5 l650.00 <br />BY �� fl�.� <br />ADDRESS FILE <br />